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General NPI Number Information
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NPI Number | 1083053193
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Entity Type | Individual
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Provider Name | LONNA KAY EDWARDS RN
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Gender | Female
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 06/21/2013
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Provider Practice Location Address
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Address Line | 214 S MAIN ST
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4700
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Country | US
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Telephone | 972-499-4696
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Fax | 972-499-4863
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Provider Business Mailing Address
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Address Line | 214 S MAIN ST
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4700
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Country | US
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Telephone | 972-499-4696
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Fax | 972-499-4863
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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